Changes in Clinical Services. The System Board may initiate changes in the clinical services provided by either HH or MCH if those changes are necessary to implement the System strategic plan and System-wide objectives, to further the clinical program development contemplated by Section 5.3 below, or to improve the financial position of HH or MCH in connection with the System Board’s approval of the Member’s operating and capital budgets under Section 3.4.1(a)(iii) above. Prior to the implementation of any clinical changes, D-HH GO will collaborate with the Member in evaluating the Member’s clinical programming as described in Section 5.3.3 below. The System Board also will evaluate the impact of the proposed change on: (i) the ability of HH or MCH to meet the health needs of the communities in its service area; (ii) the ability of HH or MCH to continue to qualify as a CAH after the proposed change; (iii) the quality and efficiency with which the Member can deliver its health services; and (iv) the charitable purpose of the Member. The System Board also will give the appropriate Member Board an opportunity to address the proposed change and to provide any additional information, and will consider any input from the Member Board in good faith. After completion of the evaluation process and consistent with Section 5.3.3 below, the Member agrees to implement the clinical changes required by the System Board in accordance with a mutually-agreed upon schedule.
Changes in Clinical Services. The System Board may initiate changes in the clinical services provided by CMC and any CMCHS Subsidiary if those changes are necessary to implement the System strategic plan and System-wide objectives, to further the clinical program development contemplated by Section 5.3 below, or to improve the financial position of CMC or any CMCHS Subsidiary in connection with the System Board’s approval of the operating and capital budgets of CMC and the CMCHS Subsidiaries under Section 3.4.2(a)(iii) above, provided such changes are consistent with Catholic moral teaching, the ERDs and Canon Law, CMC’s values and do not result in the alienation of ecclesiastical goods. Prior to the implementation of any clinical changes, D-HH GO will collaborate with CMC and the CMCHS Subsidiary, as applicable, in evaluating the clinical programming of CMC and the CMCHS Subsidiaries, respectively, as described in Section 5.3.3 below. The System Board also will evaluate the impact of the proposed change on: (i) the ability of CMC or the CMCHS Subsidiary to meet the health needs of the communities in its service area; (ii) the quality and efficiency with which CMC or the CMCHS Subsidiary can deliver its health services; and (iii) the charitable purpose of CMC or the CMCHS Subsidiary, as applicable. The System Board also will give the CMC Board and the CMCHS Subsidiary Board, as applicable, an opportunity to address the proposed change and to provide any additional information, and will consider any input from the CMC Board or any CMCHS Subsidiary Board, as applicable, in good faith. After completion of the evaluation process and consistent with Section 5.3.3 below, CMC and the CMCHS Subsidiary Boards agree to implement the clinical changes required by the System Board in accordance with a mutually-agreed upon schedule.
